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Connecticut rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,336.00 / $30,770.00 / $49,449.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,772.39 / $29,846.14 / $39,454.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,775.70 / $31,658.73 / $44,128.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $31,899.11 / $41,037.67